NUR2790 Full Course latest 2018 October NUR2790 Professional Nursing III – Residential and Online Module 1 Discussion

NUR2790 Full Course latest 2018 October NUR2790 Professional Nursing III – Residential and Online Module 1 Discussion

Cancer Treatment Options

Mrs. Williams is a 27-year-old female diagnosed with breast
cancer. She is currently in pharmacy school. She does not have children, but
hopes to have them someday. She has been tested and has a genetic
predisposition for this disease.

What treatment options does she have?

What are the advantages and disadvantages of those treatment
options?

What would you tell Mrs. Williams if she decided to refuse
treatment?

Mrs. Williams really wants to have children before she
starts treatment. What would you educate her about? Why?

NUR2790 Professional Nursing III –
Residential and Online

Module 2 Discussion

Death and Dying

Discuss the term “clinical death,” especially with
respect to when not to initiate CPR. Discuss what is meant by a “peaceful
death” and a “good death,” including goals for End-Of-Life care.
How would you feel if you knew your patients did not want CPR but the family
insisted on it?

NUR2790 Professional Nursing III –
Residential and Online

Module 3 Discussion

Triage

Triage involves the rapid assessment and prioritization of
patients. Compare the three-tiered system of triage to the Mass Casualty
Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during
an MCI. How will you categorize the following patients using the MCI triage
philosophy? Explain your answer. Are there any ethical issues that should be
considered?

10-year-old boy with massive head injury, no spontaneous
breathing, BP 60 palp

22-year-old female with a close fracture of the left arm

60-year-old male with a laceration in the leg complaining of
shortness of breath

15-year-old girl with glass embedded in the eyes

52-year-old male with a pulse of 30 and a blood pressure of
70/30

For your response, do you agree with your classmates’
opinions? What would you urge them to consider when making the triage
determination?

NUR2790 Professional Nursing III –
Residential and Online

Module 4 Discussion

Gas Exchange

Mr. Nguyen is a 58-year-old patient that had septic shock
and developed Acute Respiratory Distress Syndrome. He is orally intubated and
on a mechanical ventilator. He is paralyzed and sedated.

What manifestations might you observe for a patient with
ARDS?

What complications can Mr. Nguyen develop from being
mechanically ventilated?

List priority nursing interventions to prevent complications
associated with ventilatory support.

What interventions can be implemented specifically to
prevent the development of Ventilator Acquired Pneumonia (VAP)?

You are orienting in the ICU, the nurse you are working with
is not implementing the VAP interventions. What would you do?

NUR2790 Full Course latest 2018 October NUR2790 Professional Nursing III – Residential and Online Module 1 Discussion

Module 5 Discussion

Artifact vs. Dysrhythmia

Describe the role of each component of the ECG in the
heart’s contraction: the P wave, the PR interval, the QRS complex, the ST
segment, the T wave, and the QT interval. What is the difference between
artifact and dysrhythmia? How can you reduce artifacts? What are some
situations that can occur if artifact is not reduced or eliminated?

You are working in the Telemetry Unit. The nurse
“watching” the monitors is reading a magazine. She constantly turns
off an alarm that looks a lot like Ventricular Fibrillation. She tells you that
it is not a dysrhythmia, it is just artifact. What do you think about her
actions? What is the worst case scenario in this situation? What would you do?

NUR2790 Professional Nursing III –
Residential and Online

Module 6 Discussion

Prevention of Shock

Your patient is a 42-year-old female that arrives in the ED
with complaints of fever and not feeling well. She is currently undergoing
chemotherapy for bladder cancer. She has an indwelling urinary catheter with
scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR
136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.

What type of shock is she experiencing?

What interventions do you anticipate the doctor will order?

What can you teach this patient about prevention of
infection?

The doctor orders Bactrim. What should you be concern about?
Why?

NUR2790 Full Course latest 2018 October NUR2790 Professional Nursing III – Residential and Online Module 1 Discussion

Module 7 Discussion

Modifiable vs. Unmodifiable Risk Factors

Choose a subject (it can be a former patient, a family
member, or yourself) and identify modifiable and nonmodifiable risk factors.
Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What
can you recommend to your classmates subjects?

NUR2790 Professional Nursing III –
Residential and Online

Module 8 Discussion

The Patient with Chronic Renal Failure

Mr. Rojas is a 49-year-old patient with End Stage Renal
Disease. He has a history of hypertension and uncontrolled type 1 diabetes
(since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently
receiving hemodialysis three times per week for three hours. He is in the
hospital because he went into DKA a few days ago when he had a stomach virus.
He is asking you about renal transplantation.

What are the criteria to be placed in the transplant list?

What options for transplantation does Mr. Rojas have?

What recommendations can you give Mr. Rojas on treatment
compliance?

What other renal replacement therapies could Mr. Rojas be
educated about?

What are their advantages and disadvantages?

NUR2790 Professional Nursing III –
Residential and Online

Module 9 Discussion

Brain Death: Ethical Considerations

Your patient is a 23-year-old female with a history of
headaches. This morning she was experiencing a really bad headache as her
boyfriend was driving her to the university. He thought she was sleeping and by
the time they got to the school, 45 minutes later, she was not waking up. She
was diagnosed with a cerebral aneurysm and you are taking care of her in the
Neurological ICU.

What testing do you expect to be performed to diagnose brain
death?

What is the procedure when a patient is determined to be
brain dead?

Who should approach the family about organ donation?

The family is approached about organ donation. The patient
indicated on her driver’s license that she wanted to be an organ donor. Her
mother refuses to consent for organ donation.

Do you think donation should happen anyway? Why or why not?

What will be the ethical consequences of your decision?

NUR2790 Professional Nursing III –
Residential and Online

Module 10 Discussion

Ethical Dilemma

For patients with liver failure due to cirrhosis liver,
transplantation may be the only possible treatment.

How is the care for the patient undergoing liver
transplantation different from the care of a regular surgical patient?

What patient teaching is needed after a patient receives a
liver transplant?

Should the patient with alcoholic cirrhosis be a candidate
for a liver transplant?

Should government funds be used in the care of patients with
cirrhosis who continue to consume alcohol?

NUR2790 Professional Nursing III –
Residential and Online

Module 11 Discussion

Caring for Self!

You have learned a lot during your training to become a
Registered Nurse. At this point in your education, where do you see yourself as
a nurse? What unit would you like to work in and why?

To be able to care for patients, you must be able to care
for yourself. What are some practices you plan to implement to help you care
for yourself and why?

NUR2790 Full Course latest 2018 October NUR2790 Professional Nursing III – Residential and Online Module 1 Discussion

Module 01 Written Assignment – Cancer
Symptoms and their Management

Cancer treatment is very aggressive in nature. The treatment
can lead to symptoms that range from uncomfortable to life-threatening.
Complete the Cancer Symptoms Management Table. Do not forget to include complementary
alternative therapy that may help in symptom management.

NUR2790 Professional Nursing III –
Residential and Online

Module 02 Written Assignment –
End-of-Life Care Concept Map

Mr. Rivera is a 72-year-old patient with end stage COPD who
is in the care of Hospice. He has a history of smoking, hypertension, obesity,
and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His
wife and 2 adult children help with his care. Develop a concept map for Mr.
Rivera. Consider the patients Ethnic background (he and his family are from
Mexico) and family dynamics. Please use the concept map form provided.

NUR2790 Professional Nursing III –
Residential and Online

Module 03 Written Assignment – Phases
of Burn Injury

A burn injury can severely affect a patient’s physical and
emotional well-being. As a nurse you may be in charge of taking care of a
patient during any of the three phases of burns. Please complete the Phases of
Burn Injury table to better understand the needs of a burn patient and ways to
meet those needs.

NUR2790 Professional Nursing III –
Residential and Online

Module 04 Written Assignment – Gas
Exchange Exemplars

Complete the Gas Exchange Exemplar comparison table.

Comparison
of Gas Exchange Exemplars:

Pneumothorax Tension Pneumothorax Flail Chest Hemothorax Acute Respiratory Failure
Pathophysiology
Etiology
Clinical Manifestations
Interventions

NUR2790 Professional Nursing III –
Residential and Online

Module 05 Written Assignment – Case
Study

A 60-year-old male patient is admitted with chest pain to
the telemetry unit where you work. While having a bowel movement on the bedside
commode, the patient becomes short of breath and diaphoretic. The ECG waveform
shows bradycardia.

What other assessment findings should you anticipate?

Why does this patient probably have bradycardia?

Does this dysrhythmia need treatment? Why or why not? What
intervention would you implement first?

What is the drug treatment and dosage of choice for
symptomatic bradycardia? How does this drug increase heart rate?

NUR2790 Full Course latest 2018 October NUR2790 Professional Nursing III – Residential and Online Module 1 Discussion

Module 06 Written Assignment – Types
of Shock

It is very important to differentiate between the different
types of shock since treatment may depend on this. Complete the Comparison
Table on the different types of shock.

Comparison
Table on Types of Shock

Hypovolemic Cardiogenic Neurogenic Anaphylactic Septic
Pathophysiology
Causes
Signs/Symptoms
Nursing Diagnosis
Interventions:
Patient Teaching

(for prevention)

NUR2790 Professional Nursing III –
Residential and Online

Module 07 Written Assignment –
Cardiovascular Exemplars

Complete the Cardiovascular Exemplar Table in its entirety.

Comparison
of Cardiovascular Exemplars:

Angina Acute Myocardial Infarction
Pathophysiology
Etiology
Assessment Findings (including
Diagnostics)
Nursing Diagnosis
Interventions (including meds and
Surgical interventions)

 

 

NUR2790 Professional Nursing III –
Residential and Online

Module 09 Written Assignment – Stroke
Concept Map

Please use the concept map to plan care for Mr. Jackson. Mr.
Jackson is a 38-year-old African American that presents with an altered level
of consciousness (ALOC). He has been having headaches for the last three months
but due to a hectic work schedule he has not been able to go to see his medical
practitioner. During his last visit two years ago, his blood pressure was
slightly elevated, but he never followed up. Upon arrival to the ED a CT scan
is completed and it shows a large bleed near the frontal lobe. What should Mr.
Jackson’s plan of care include?

NUR2790 Professional Nursing III –
Residential and Online

Module 10 Written Assignment – Concept
Map

Your patient is a 52-year-old male with a history of smoking
and alcohol abuse. He presents to the ED with complaints of “my skin looks
yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a
tumor near the pancreas is observed. It appears to be blocking the common bile
duct. Develop a plan of care for the patient. Use the attached concept map.

NUR2790 Professional Nursing III –
Residential and Online

Module 11 Written Assignment – Best
Practice

Write a 1-2 page paper about some of the Best Practices you
have learned about during this course. How will these practices improve
patient’s outcomes? You must use APA and have at least three references less
than three years old to support your choices.

NUR2790 Professional Nursing III –
Residential and Online

Module 1 Discussion

Cancer Treatment Options

Mrs. Williams is a 27-year-old female diagnosed with breast
cancer. She is currently in pharmacy school. She does not have children, but
hopes to have them someday. She has been tested and has a genetic
predisposition for this disease.

What treatment options does she have?

What are the advantages and disadvantages of those treatment
options?

What would you tell Mrs. Williams if she decided to refuse
treatment?

Mrs. Williams really wants to have children before she
starts treatment. What would you educate her about? Why?

NUR2790 Professional Nursing III –
Residential and Online

Module 2 Discussion

Death and Dying

Discuss the term “clinical death,” especially with
respect to when not to initiate CPR. Discuss what is meant by a “peaceful
death” and a “good death,” including goals for End-Of-Life care.
How would you feel if you knew your patients did not want CPR but the family
insisted on it?

NUR2790 Professional Nursing III –
Residential and Online

Module 3 Discussion

Triage

Triage involves the rapid assessment and prioritization of
patients. Compare the three-tiered system of triage to the Mass Casualty
Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during
an MCI. How will you categorize the following patients using the MCI triage
philosophy? Explain your answer. Are there any ethical issues that should be
considered?

10-year-old boy with massive head injury, no spontaneous
breathing, BP 60 palp

22-year-old female with a close fracture of the left arm

60-year-old male with a laceration in the leg complaining of
shortness of breath

15-year-old girl with glass embedded in the eyes

52-year-old male with a pulse of 30 and a blood pressure of
70/30

For your response, do you agree with your classmates’
opinions? What would you urge them to consider when making the triage
determination?

NUR2790 Professional Nursing III –
Residential and Online

Module 4 Discussion

Gas Exchange

Mr. Nguyen is a 58-year-old patient that had septic shock
and developed Acute Respiratory Distress Syndrome. He is orally intubated and
on a mechanical ventilator. He is paralyzed and sedated.

What manifestations might you observe for a patient with
ARDS?

What complications can Mr. Nguyen develop from being
mechanically ventilated?

List priority nursing interventions to prevent complications
associated with ventilatory support.

What interventions can be implemented specifically to
prevent the development of Ventilator Acquired Pneumonia (VAP)?

You are orienting in the ICU, the nurse you are working with
is not implementing the VAP interventions. What would you do?

NUR2790 Professional Nursing III –
Residential and Online

Module 5 Discussion

Artifact vs. Dysrhythmia

Describe the role of each component of the ECG in the
heart’s contraction: the P wave, the PR interval, the QRS complex, the ST
segment, the T wave, and the QT interval. What is the difference between
artifact and dysrhythmia? How can you reduce artifacts? What are some
situations that can occur if artifact is not reduced or eliminated?

You are working in the Telemetry Unit. The nurse
“watching” the monitors is reading a magazine. She constantly turns
off an alarm that looks a lot like Ventricular Fibrillation. She tells you that
it is not a dysrhythmia, it is just artifact. What do you think about her
actions? What is the worst case scenario in this situation? What would you do?

NUR2790 Professional Nursing III –
Residential and Online

Module 6 Discussion

Prevention of Shock

Your patient is a 42-year-old female that arrives in the ED
with complaints of fever and not feeling well. She is currently undergoing
chemotherapy for bladder cancer. She has an indwelling urinary catheter with
scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR
136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.

What type of shock is she experiencing?

What interventions do you anticipate the doctor will order?

What can you teach this patient about prevention of
infection?

The doctor orders Bactrim. What should you be concern about?
Why?

NUR2790 Professional Nursing III –
Residential and Online

Module 7 Discussion

Modifiable vs. Unmodifiable Risk Factors

Choose a subject (it can be a former patient, a family
member, or yourself) and identify modifiable and nonmodifiable risk factors.
Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What
can you recommend to your classmates subjects?

NUR2790 Professional Nursing III –
Residential and Online

Module 8 Discussion

The Patient with Chronic Renal Failure

Mr. Rojas is a 49-year-old patient with End Stage Renal
Disease. He has a history of hypertension and uncontrolled type 1 diabetes
(since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently
receiving hemodialysis three times per week for three hours. He is in the
hospital because he went into DKA a few days ago when he had a stomach virus.
He is asking you about renal transplantation.

What are the criteria to be placed in the transplant list?

What options for transplantation does Mr. Rojas have?

What recommendations can you give Mr. Rojas on treatment
compliance?

What other renal replacement therapies could Mr. Rojas be
educated about?

What are their advantages and disadvantages?

NUR2790 Professional Nursing III –
Residential and Online

Module 9 Discussion

Brain Death: Ethical Considerations

Your patient is a 23-year-old female with a history of
headaches. This morning she was experiencing a really bad headache as her
boyfriend was driving her to the university. He thought she was sleeping and by
the time they got to the school, 45 minutes later, she was not waking up. She
was diagnosed with a cerebral aneurysm and you are taking care of her in the
Neurological ICU.

What testing do you expect to be performed to diagnose brain
death?

What is the procedure when a patient is determined to be
brain dead?

Who should approach the family about organ donation?

The family is approached about organ donation. The patient
indicated on her driver’s license that she wanted to be an organ donor. Her
mother refuses to consent for organ donation.

Do you think donation should happen anyway? Why or why not?

What will be the ethical consequences of your decision?

NUR2790 Professional Nursing III –
Residential and Online

Module 10 Discussion

Ethical Dilemma

For patients with liver failure due to cirrhosis liver,
transplantation may be the only possible treatment.

How is the care for the patient undergoing liver
transplantation different from the care of a regular surgical patient?

What patient teaching is needed after a patient receives a
liver transplant?

Should the patient with alcoholic cirrhosis be a candidate
for a liver transplant?

Should government funds be used in the care of patients with
cirrhosis who continue to consume alcohol?

NUR2790 Professional Nursing III –
Residential and Online

Module 11 Discussion

Caring for Self!

You have learned a lot during your training to become a
Registered Nurse. At this point in your education, where do you see yourself as
a nurse? What unit would you like to work in and why?

To be able to care for patients, you must be able to care
for yourself. What are some practices you plan to implement to help you care
for yourself and why?

NUR2790 Professional Nursing III –
Residential and Online

Module 01 Written Assignment – Cancer
Symptoms and their Management

Cancer treatment is very aggressive in nature. The treatment
can lead to symptoms that range from uncomfortable to life-threatening.
Complete the Cancer Symptoms Management Table. Do not forget to include complementary
alternative therapy that may help in symptom management.

NUR2790 Professional Nursing III –
Residential and Online

Module 02 Written Assignment –
End-of-Life Care Concept Map

Mr. Rivera is a 72-year-old patient with end stage COPD who
is in the care of Hospice. He has a history of smoking, hypertension, obesity,
and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His
wife and 2 adult children help with his care. Develop a concept map for Mr.
Rivera. Consider the patients Ethnic background (he and his family are from
Mexico) and family dynamics. Please use the concept map form provided.

NUR2790 Professional Nursing III –
Residential and Online

Module 03 Written Assignment – Phases
of Burn Injury

A burn injury can severely affect a patient’s physical and
emotional well-being. As a nurse you may be in charge of taking care of a
patient during any of the three phases of burns. Please complete the Phases of
Burn Injury table to better understand the needs of a burn patient and ways to
meet those needs.

NUR2790 Professional Nursing III –
Residential and Online

Module 04 Written Assignment – Gas
Exchange Exemplars

Complete the Gas Exchange Exemplar comparison table.

Comparison
of Gas Exchange Exemplars:

Pneumothorax Tension Pneumothorax Flail Chest Hemothorax Acute Respiratory Failure
Pathophysiology
Etiology
Clinical Manifestations
Interventions

NUR2790 Professional Nursing III –
Residential and Online

Module 05 Written Assignment – Case
Study

A 60-year-old male patient is admitted with chest pain to
the telemetry unit where you work. While having a bowel movement on the bedside
commode, the patient becomes short of breath and diaphoretic. The ECG waveform
shows bradycardia.

What other assessment findings should you anticipate?

Why does this patient probably have bradycardia?

Does this dysrhythmia need treatment? Why or why not? What
intervention would you implement first?

What is the drug treatment and dosage of choice for
symptomatic bradycardia? How does this drug increase heart rate?

NUR2790 Professional Nursing III –
Residential and Online

Module 06 Written Assignment – Types
of Shock

It is very important to differentiate between the different
types of shock since treatment may depend on this. Complete the Comparison
Table on the different types of shock.

Comparison
Table on Types of Shock

Hypovolemic Cardiogenic Neurogenic Anaphylactic Septic
Pathophysiology
Causes
Signs/Symptoms
Nursing Diagnosis
Interventions:
Patient Teaching

(for prevention)

NUR2790 Professional Nursing III –
Residential and Online

Module 07 Written Assignment –
Cardiovascular Exemplars

Complete the Cardiovascular Exemplar Table in its entirety.

Comparison
of Cardiovascular Exemplars:

Angina Acute Myocardial Infarction
Pathophysiology
Etiology
Assessment Findings (including
Diagnostics)
Nursing Diagnosis
Interventions (including meds and
Surgical interventions)

 

 

NUR2790 Professional Nursing III –
Residential and Online

Module 09 Written Assignment – Stroke
Concept Map

Please use the concept map to plan care for Mr. Jackson. Mr.
Jackson is a 38-year-old African American that presents with an altered level
of consciousness (ALOC). He has been having headaches for the last three months
but due to a hectic work schedule he has not been able to go to see his medical
practitioner. During his last visit two years ago, his blood pressure was
slightly elevated, but he never followed up. Upon arrival to the ED a CT scan
is completed and it shows a large bleed near the frontal lobe. What should Mr.
Jackson’s plan of care include?

NUR2790 Professional Nursing III –
Residential and Online

Module 10 Written Assignment – Concept
Map

Your patient is a 52-year-old male with a history of smoking
and alcohol abuse. He presents to the ED with complaints of “my skin looks
yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a
tumor near the pancreas is observed. It appears to be blocking the common bile
duct. Develop a plan of care for the patient. Use the attached concept map.

NUR2790 Professional Nursing III –
Residential and Online

Module 11 Written Assignment – Best
Practice

Write a 1-2 page paper about some of the Best Practices you
have learned about during this course. How will these practices improve
patient’s outcomes? You must use APA and have at least three references less
than three years old to support your choices.